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THE STATE OF WYOMING
SS.
THE COUNTY OF LINCOLN
I
000775
I
AFFIDAVIT TERMINATING ESTATE BY THE ENTIRETIES
I, Betty J. Clark, being of lawful age and first duly sworn according ~o law,
upon my oath, depose and state:
1 . That I am of adult age, a resident of Diamondville, Wyoming, ànd the
Affiant herein.
2. That by virtue of the conveyance which is recorded in the offica of the
County Clerk for Lincoln County, Wyoming, located at Ke~merer,
Wyoming in Book 99PR on page 55 is recorded March 22, 19:¡2 and
Book 89PR on page 32 recorded December 22, 1969. The W~rranty
Deed, dated the 26 day of December, 1969 and 29 day of Sep~ember,
1969 conveys unto Clyde Clark and Betty J. Clark, as Husband and
Wife, as tenants by the entireties, the following described property, to-
wit:
Lots 17, 18, 19, and 20 in Block 34 in the Town of Diamondville, Lincoln
County, Wyoming as described on the official plat thereof.
3. That said Clyde Clark, died on the 28 day of August,2007, and la copy
of the original certificate of death, certified to as true an correct by public
authority in which the original of said certificate is a matter of record, is
attached hereto as Exhibit "A".
4. That by reason of death of said Clyde Clark and by reason of §~-9-1 02
W.S. (1980), the decedents interest and title in said conveya~ce has
terminated and title to the real property conveyed thereby has !vested
absolutely in Betty J. Clark continuously since the death of t~e said
decedent.
FURTHER AFFIANT SAYETH NOT.
Dated: /ó<.,A~?~(Jó '7
RECEIVED 12/10/2007 at 11 :07 AM
RECEIVING # 935479 :
BOOK: 680 PAGE: 775 :
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMME"ER, WY
d.Jhj/;)}r 0 ~ .
Betty J,. Clark
State of Wyoming
County of Lincoln
~¡
The foregoing instrument was subscribed and sworn to me by 7-t~is day
of December, 2007
Witness my hand and official seal.
COUNTY OF
LINCOLN
STATE OF
WYOMING
di£ ¡
..- .~-'ø~
. Notary Public
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LORI KALAN - NOTARY PUBLIC
My Commission Expires Feb. 26, 2011
My Commission Expires: